Gao Peng-Ji, Chen Lei, Wang Fu-Shun, Zhu Ji-Ye
Peng-Ji Gao, Lei Chen, Fu-Shun Wang, Ji-Ye Zhu, Department of Hepatobiliary Surgery, Peking University People's Hospital, Beijing 100044, China.
World J Gastroenterol. 2014 Feb 28;20(8):2117-9. doi: 10.3748/wjg.v20.i8.2117.
Intestinal lipomatosis is a rare disease with an incidence at autopsy ranging from 0.04% to 4.5%. Because the lipomas are diffusely distributed in the intestine, most patients are symptom-free, and invasive intervention is not advised by most doctors. Here, we describe a case with intussusception due to small-bowel lipomatosis. Partial small bowel resection and anastomosis were performed because the intestinal wall was on the verge of perforation. This case indicates that regular follow-up is necessary and endoscopic treatment should be considered to avoid surgical procedures if the lipoma is large enough to cause intestinal obstruction.
肠脂肪瘤病是一种罕见疾病，尸检发病率为0.04%至4.5%。由于脂肪瘤在肠道中呈弥漫性分布，大多数患者没有症状，大多数医生不建议进行侵入性干预。在此，我们描述一例因小肠脂肪瘤病导致肠套叠的病例。由于肠壁濒临穿孔，故进行了部分小肠切除及吻合术。该病例表明，有必要进行定期随访，并且如果脂肪瘤大到足以引起肠梗阻，应考虑内镜治疗以避免外科手术。
